Individual provider Active NPI

Leslie Todd Alsterlund, O.D.

  • Vision Therapy Optometrist
  • Minneapolis, MN
National Provider Identifier
1144296484
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
2724 Issued in MN
Practice address
3553 Hennepin Ave S
Minneapolis, MN 55408-3830
Phone
(612) 822-5844
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 2724 MN Primary

Addresses

Primary practice location

3553 Hennepin Ave S
Minneapolis, MN 55408-3830

Mailing address

2500 34TH Ave S
Minneapolis, MN 55406-1734
Phone (612) 724-7007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2724MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vision World Inc Past Accepting new patients
Visionworks Inc Past Accepting new patients
Vision World Inc Past Accepting new patients
Uptown Vision Clinic, PA PastSince Apr 25, 2017 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144296484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 34TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061734",
            "telephone_number": "612-724-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3553 HENNEPIN AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083830",
            "telephone_number": "612-822-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSTERLUND",
        "first_name": "LESLIE",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MN",
            "license": "2724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.